Heather Christine Buckley PA C

NPI 1083894539 - Physician Assistant - 363A00000X

NPI Details
NPI 1083894539
Gender Female
Enumeration Date 11/13/2007
Last Updated 12/03/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
5455 MERIDIAN MARKS RD
SUITE 130
ATLANTA GA, 30342-1654, US
Phone (404) 255-2033
Fax (404) 252-1901
Business Location
5455 MERIDIAN MARKS RD
SUITE 130
ATLANTA GA, 30342-1654, US
Phone (404) 255-2033
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 005204
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According to our database, Heather Christine Buckley PA C NPI is 1083894539, taxonomy code is 363A00000X and license number is 005204, license state is located at Georgia. Heather Christine Buckley PA C physically located at 5455 Meridian Marks Rd, Atlanta GA, 30342-1654. NPI Number Heather Christine Buckley PA C has the Individual type.

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1083894539 NPI number is provided on an as is basis without warranty of any kind. 1083894539 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Christine Buckley PA C are for informational purposes only.